Findings

What do systematic reviews say?

3 questions · 3 findings · 1 reviews · Stroke

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No studies found 0 · 0%GRADE not reported 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 1 · 33.3%High 2 · 66.7%

SUMMARY OF FINDINGS FOR DECOMPRESSION vs medical treatment

Death at 6 to 12 months · malignant cerebral oedema after ischaemic stroke

Summary of findings table ‐ surgical decompression leads to lower death at 6 to 12 months compared with medical treatment alone (high certainty).

1 finding from 1 review

Surgical decompression for malignant cerebral oedema after ischaemic stroke 2022 · Cochrane Headline outcomes only
OR 0.18 [0.12, 0.27]
9 studies · 513 participants
High

SUMMARY OF FINDINGS FOR DECOMPRESSION vs medical treatment

Death or severe disability (mRS > 4) at 6 to 12 months · malignant cerebral oedema after ischaemic stroke

Summary of findings table ‐ surgical decompression leads to lower death or severe disability (mRS > 4) at 6 to 12 months compared with medical treatment alone (high certainty).

1 finding from 1 review

Surgical decompression for malignant cerebral oedema after ischaemic stroke 2022 · Cochrane Headline outcomes only
OR 0.22 [0.15, 0.32]
9 studies · 513 participants
High

SUMMARY OF FINDINGS FOR DECOMPRESSION vs medical treatment

Death or moderate disability (mRS > 3) at 6 to 12 months · malignant cerebral oedema after ischaemic stroke

Summary of findings table ‐ surgical decompression probably leads to lower death or moderate disability (mRS > 3) at 6 to 12 months compared with medical treatment alone (moderate certainty).

1 finding from 1 review

Surgical decompression for malignant cerebral oedema after ischaemic stroke 2022 · Cochrane Headline outcomes only
OR 0.34 [0.22, 0.52]
9 studies · 513 participants
Moderate